Elderly Health Promotion System Development through a Health Literacy Process in Elderly Clubs of the Bangkok Metropolitan


  • Kandavasee Maleevong Metropolitan Health and Wellness Institution, Department of Health
  • Vanida Durongrittichai Faculty of Nursing, Phetchaburi Rajabhat University
  • Hataichanok Buajalearn Faculty of Nursing, Nakhon Pathom Rajabhat University
  • Srisuda Sawangsalee Metropolitan Health and Wellness Institution, Department of Health
  • Benjawan Jantapol Regional Health Promotion Center 8, Udon Thani
  • Yongyot Hattapornsakwan Metropolitan Health and Wellness Institution, Department of Health
  • Vanida Mongkolsinh Navamindradhiraj University


System development, Elderly club, Health promotion system, Health literacy


                 A health promotion system is a potent tool for stakeholders to foster the cognitive-enhancing processes of the elderly. It serves to increase learning by being accessible, understandable, utilized and communicative in promoting healthy behaviors.  However, empirical data is lacking to support critical areas. The objective of this mixed methods research design is to analyze health promotion behaviors and health literacy, as well as to develop a model of the health promotion system for the elderly in elderly clubs. The study population consisted of 18 elderly club committees and 634 elderly club members. The research instruments were of two kinds: questionnaires and in-depth interviews of elderly club committees and their members. Data was collected from January 2018 - May 2019. Quantitative data is represented by means and standard deviations. The qualitative data is analyzed using content analysis. Also, the health promotion model is a synthesis of both quantitative and qualitative data based on the 4 Smart model.

               The results show that the health promotion activities that the elderly club organized for members included "Don't Fall," "Delicious Eating," "No Depression," and "Don't Forget." The health-promoting behaviors that most elderly practiced for the "Don't Fall"  activity was keeping the house tidy and keeping the floor dry, "Delicious rice-eating" emphasized eating eggs, vegetables, and fruits every day to receive essential nutrients. "Do not forget" was choosing a regular place as a place to remember, and "No depression" was to do activities with other people to maintain self-value. The research results supported the system development concept of promoting health through a process of health literacy at the individual level using the 4 Smart model.


Download data is not yet available.


The Secretariat of the House of Representatives. Elderly society and the driving of Thai economy. [Electronic documents]. 2018 [cited 2020 April 2]. Available from http://www.parliament.go.th/libtary

Department of Elderly Affairs [Internet]. 2019 [cited 2020 April 1]. Elderly statistics. Available from http://www.dop.go.th/th/know/1.

Anan A. Aging society: Challenges Thailand. National Convention and the Members of Thammasat University and Politics Royal Institute; 2015.

The Elderly Council of Thailand. Elderly Club Guide [Internet]. 2016 [cited 2020 April 1]. Available from http://www.dop.go.th/download/knowledge/knowledge_th_20161706104732_1.pdf.

Kitpapon S. Relationship between Health Literacy and Quality of the Elderly’s Life at the Central Part of the North-East Thailand. Journal of Health Systems Research 2017; 11(1): 26-36. (in Thai)

Department of Health. Elderly Health Promotion Guide and prevent dementia for the people. Cluster of elderly group. Department of Health, Ministry of Public Health [Electronic documents]; 2018.

Office of Policy and Strategy, Office of the Permanent Secretary. Strategic Plan Ministry of Public Health 2017–2021; 2017.

Department of Older Persons (DOP). Situation of The Thai Elderly 2017 [Internet]. 2017 [cited 2020 April 22]. Available from http://www.dop.go.th/th/know/1.

Piaseu N, Prasertpan C, Maruo SJ, Kittipimpanon K. Activities and Outputs of a Senior Club in an Urban Community: A Case Study. Rama Nurs J 2015; 20(3): 388-400.

Sriphaiphan T, et al. Local unite to take care of the elderly in the community. Health Learning Center, Office of Health Promotion Fund Training course and knowledge development project for expanding work to enhance well-being. 2017.

Health Promotion Center Region 5. Implementation plan for development and driving support programs Strategic Plan for Health Promotion and Disease Prevention to Excellence 2017-2036 with Participation; 2017.

World Health Organization (WHO). Health In SDGs Policy brief 4: Health literacy [Internet]. 2016 [cited 2020 April 10]. Available from https://www.who.int/healthpromotion/conferences/9gchp/policy-brief4-health-literacy.pdf?ua=1

Brach C, Keller D, Hernandez LM, Baur C, Parker R, Dreyer B, et al. Ten attributes of health literate health care organizations. NAM Perspectives; 2012.

Krejcie RV, Morgan DW. Determining Sample Size for Research Activities. Educational and Psychological Measurement 1970; 30(3): 607-10.

Thomas J, Harden A. Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Medical Research Methodology; 2008.

Novek S, Menec V, Tran T, Bell S. Exploring the Impacts of Senior Centres on Older Adults. Winnipeg, MB: Centre on Aging; 2013.

Tanasugarn C. Health Literacy. Nonthaburi: Ministry of Public Health; 2017.

Aunprom-me S. Milestones in Health Promotion. Nonthaburi: Ministry of Public Health; 2013.

Pansit P, Arphattananon T, Titiravevong S. A Model and Operation of Senior Citizen Clubs in Amphoe Pakphayoon, Changwat Phattalung; 2017.

Nutbeam D. The Evolving Concept of Health Literacy. Social Science and Medicine 2008; 67(12): 2072-8.

Wiser F, Durst C, Wickramasinghe N. Using Activity Theory Successfully in Healthcare: A Systematic Review of the Theory’s Key Challenges to Date. Proceedings of the 52nd Hawaii International Conference on System Sciences [Internet]. 2019 [cited 2020 April 21]. Available from https://www.researchgate.net/publication/.

Pengjunt W. Health Literacy geared to Thailand. Nonthaburi: Ministry of Public Health; 2017.

Durongritichtichai V, Kungthamniem K, Jampates N. Developing a system of social welfare for the underprivileged older persons to inequality reduction. Journal of Social Work 2018; 26(1), 95-119.



How to Cite

Maleevong ก. ., Durongrittichai ว. ., Buajalearn ห. ., Sawangsalee ศ. ., Jantapol เ. ., Hattapornsakwan ย. ., & Mongkolsinh ว. . (2020). Elderly Health Promotion System Development through a Health Literacy Process in Elderly Clubs of the Bangkok Metropolitan . Journal of Public Health Nursing, 34(2), 84–101. Retrieved from https://he01.tci-thaijo.org/index.php/phn/article/view/245791



Research Articles